Individual
STEVE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1140 DOUGLAS RD, OSWEGO, IL 60543-9040
(630) 554-5188
(630) 554-5518
Mailing address
1140 DOUGLAS RD, OSWEGO, IL 60543-9040
(630) 554-5188
(630) 554-5518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/09/2007
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